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Utah rates for HCPCS 57023

Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$404.19 / $2,922.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.84 / $404.19 / $557.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.59 / $458.75 / $699.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.05 / $244.59 / $320.49
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,952.73 / $5,387.63 / $7,851.32
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.79 / $539.78 / $660.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.00 / $3,613.00 / $7,048.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.70 / $379.45 / $659.52